I kekahi manawa loaʻa iā mākou nā pilikia olakino e paʻakikī iki ke kamaʻilio e pili ana, akā ʻeha loa. ʻO kahi puʻupuʻu ʻulaʻula, pehu, ʻeha kokoke i ka anus kekahi o ia mau mea. ʻO ka ʻeha i ka wā e noho ana, e hele ana, a i ʻole e hele ana i ka lua hiki ke hoʻonāukiuki loa a hiki ʻole iā ʻoe ke hana i kāu mau hana o kēlā me kēia lā. Ua loaʻa anei iā ʻoe kēia ʻike? A laila, mai makaʻu i kēia ʻano. E kamaʻilio kākou e pili ana i nā kikoʻī a me ka maʻalahi.
He aha maoli ka abscess anal?
I ka ʻōlelo maʻalahi, he puʻupuʻu ʻeha a piha i ka pus ka mea i hana ʻia ma lalo o ka ʻili a puni kou anus. Aia nā kelepa liʻiliʻi i loko o kou anus e kōkua i ka mālama ʻana i ka makū. Ke ālai ʻia kēia mau kelepa no kekahi kumu, hiki ke ulu kahi maʻi bacteria a hiki ke hōʻiliʻili ka pus i loko o lākou. Hōʻiliʻili kēlā pus, e hana ana i kahi puʻupuʻu ʻeha.
ʻO ke ʻano maʻamau o ka abscess i kapa ʻia he perianal abscess, kahi e kū kokoke ana i ka puka o ka anus. ʻIke pinepine ʻia ia he puʻupuʻu ʻulaʻula a palupalu. I kekahi manawa, hiki ke kū mai nā abscess i loko o ka anus, ma ka rectum. ʻAʻole ʻike ʻia lākou.
ʻO ka pilina ma waena o ka fissure anal a me ka fistula
ʻO kekahi mea āu e ʻike pono ai i ka wā e kamaʻilio ai e pili ana i kēia, ʻo ia ka mea i kapa ʻia he fistula. He nui ka poʻe (ma kahi o 50%) e loaʻa ana i kahi fistula anal e loaʻa i kahi fistula ma hope.
He lua ʻano ʻē ka fistula e hana ʻia mai kahi o kahi abscess piha i ka pus (i loko o ka anus) a i ka ʻili o ka ʻili. He ala kēia no ke kino e hoʻokuʻu i ka pus i hōʻiliʻili ʻia ma muli o kahi maʻi.
Hiki i kēia māwae ke hana i ka pus pinepine, i kekahi manawa me kahi ʻōpala liʻiliʻi a i ʻole ke koko, e puka mai i waho o kahi lua liʻiliʻi i loko o ka ʻili. I kekahi manawa, inā pani ʻia kēia lua, hiki i ka pus ke hōʻiliʻili hou a hana i kahi abscess hou. No laila, inā loaʻa iā ʻoe nā māwae anal pinepine, aia kahi manawa kūpono he māwae ke kumu.
He aha nā kumu a me nā mea e hoʻopilikia ai i ka ulu ʻana o kēia mau tumors?
ʻAʻohe kumu hoʻokahi no ka māwae anal. Nui nā kumu a me nā mea pilikia e hiki ke kōkua i kēia. E nānā kākou iā lākou ma kahi papa.
| Kumu/Kumu pilikia | He wehewehe maʻalahi |
|---|---|
| Nā kelepa anal i ālai ʻia | ʻO kēia ke kumu nui a maʻamau. ʻO ka maʻi bacteria i loko o nā glands ke kumu o ka hōʻiliʻili ʻana o ka pus. |
| Nā māwae anal | Hiki i nā bacteria ke komo ma o nā māwae liʻiliʻi ma ka rectum ma muli o nā kumu e like me ka paʻa ʻana o ka ʻōpū a hoʻoulu i nā maʻi. |
| Nā maʻi o ka ʻōnaehana hoʻoheheʻe | ʻO ka poʻe me nā maʻi ʻōpū mumū (IBD) e like me ka maʻi a Crohn a i ʻole ka ulcerative colitis e piʻi nui ana ka pilikia. |
| Maʻi diabetes | Loaʻa i ka poʻe me ka maʻi diabetes ka pilikia nui o ka loaʻa ʻana o kekahi maʻi. |
| Ka pale ʻana i ka maʻi | ʻO ka poʻe me nā ʻōnaehana pale nawaliwali ma muli o nā kūlana e like me nā lāʻau lapaʻau maʻi kanesa (chemotherapy), nā lāʻau steroid (prednisone), a i ʻole HIV paha kekahi i ka pilikia nui aʻe. |
| Nā kumu ʻē aʻe | Hiki i nā maʻi i laha ma ke ʻano moekolohe, nā ʻeha anal, ka puhi paka, a me ka paʻa mau ʻana ke kōkua pū kekahi. |
He hemorrhoids anei kēia? A i ʻole he māwae anal? E ʻike kākou i ka ʻokoʻa.
He nui ka poʻe e huikau i kēia maʻi me nā hemorrhoids. He kūpono kēia huikau no ka mea ʻelua e kū nei ma kahi like a ʻelua e hōʻeha a me ka ʻeha. Eia nō naʻe, he ʻelua mau maʻi lapaʻau ʻokoʻa loa kēia.
ʻAʻole he maʻi nā hemorrhoids. He mau aa koko pehu lākou i loko o ka anus. ʻO ka anal fissure kahi abscess piha i ka pus i hoʻokumu ʻia e kahi maʻi bacteria.
E wehewehe hou aku kākou i kēia ʻokoʻa me ka papa ma lalo nei.
| ʻAno | ʻO ka ʻōpū anal | Nā ʻōpū hemorrhoids |
|---|---|---|
| ʻAno maoli | He puʻu i piha i ka pehu, ʻulaʻula, pehu, a mehana ke pā aku. | He kīʻaha koko pehu e like me kahi puʻupuʻu paʻa me ka poni-polū. |
| ʻEha | ʻEha mau, ʻoi, a hou, ʻoiai i ka wā e noho ana. | Hiki paha iā ʻoe ke manaʻo i ka ʻeha, ka maneʻo, a i ʻole ka ʻoluʻolu ʻole, akā, ʻaʻole ia he mea koʻikoʻi mau. |
| Kuni a me nā anu | ʻAe , he maʻi kēia e hiki ai ke hoʻoulu i ke kuni, ka ʻūlū, a me ka haʻalulu. | ʻAʻole , ʻaʻole he maʻi nā hemorrhoids, no laila ʻaʻole lākou e hoʻoulu ai i ke kuni. |
| Ka hoʻokuʻu ʻana o ka pus | Inā pahū ka abscess, e puka mai paha ka pus. | ʻAʻohe pus. He koko iki paha. |
Pehea e ʻike ai ke kauka i kēia?
Inā loaʻa iā ʻoe kēia mau hōʻailona, he mea nui e ʻike i ke kauka . E nīnau pinepine ke kauka iā ʻoe e pili ana i kāu mau hōʻailona a nānā i ka wahi.
- Hoʻokolokolo kino: E nānā ke kauka i ka rectum a me nā wahi a puni, e nānā ana i ka pehu, ka ʻulaʻula, a me ka ʻeha.
- Hoʻokolohua Rectal Digital: Hoʻokomo ʻia kahi manamana lima i loko o ka rectum e nānā i nā puʻupuʻu a i ʻole nā mea ʻē aʻe.
- Nā hoʻokolohua ʻē aʻe:I kekahi manawa, ʻoiai inā he ʻōpū kūloko ka puʻupuʻu, hiki ke ʻōlelo ʻia kahi scan e like me ka ultrasound, CT scan, a i ʻole MRI e hōʻoia i ka hōʻailona. Hiki ke ʻōlelo ʻia kahi colonoscopy e kāpae i nā kūlana ʻē aʻe, e like me ka maʻi ʻōpū mumū (IBD).
Pehea e mālama ʻia ai? E hoʻomaikaʻi anei kēia ma kāna iho?
ʻO ka mea nui e hoʻomanaʻo ai ma ʻaneʻi, ʻaʻole e ho'ōla pinepine ʻia kahi māwae anal ma kāna iho. He mea pono ia i ka lāʻau lapaʻau.
ʻŌlelo Aʻo: Mai ho'āʻo, ma lalo o kekahi kūlana, e wehe i ka pus mai kēia paila ma ka home a i ʻole e hou iā ia me kahi mea ʻoi. Hiki i kēia ke hoʻonui i ka maʻi a alakaʻi i nā pilikia e hoʻoweliweli i ke ola e like me ka sepsis.
Hoʻokahe wai ʻoki kino
ʻO ka pinepine ka lāʻau maikaʻi loa a me ka lāʻau hoʻokahi no ka fissure anal, ʻo ia ke hana i kahi ʻoki liʻiliʻi e wehe loa i ka pus.
- Nā cysts waho liʻiliʻi: Hiki ke hana ʻia kēia mau mea ma ke keʻena o ke kauka (OPD) i loko o kekahi mau minuke ma lalo o ka anesthesia kūloko.
- ʻO nā puʻupuʻu kūloko a nui paha: I kēia hihia, pono ʻoe e komo i loko o ka haukapila, anesthetized, a hana ʻia kēia hana ma kahi lumi hana ma lalo o ka anesthesia laulā.
Ma hope o ke ʻoki ʻana, e waiho mau ʻia ka ʻoki a hiki i ka wā e kahe loa ai ka pus. ʻAʻole ia e humuhumu ʻia.
Ka manawa ho'ōla ma hope o ke ʻoki kino
Ua hoʻemi nui ʻia ka ʻeha ma hope o ke ʻoki ʻana. I mea e kōkua ai iā ʻoe e hoʻōla koke, hiki i kāu kauka ke ʻōlelo i kēia mau mea:
- Nā lāʻau hoʻopau ʻeha: E hāʻawi ʻia ka lāʻau lapaʻau e kāohi i ka ʻeha.
- Nā lāʻau lapaʻau: Hiki ke kuhikuhi ʻia nā lāʻau lapaʻau e kāohi i ka maʻi, ʻoiai inā loaʻa iā ʻoe nā maʻi ʻē aʻe e like me ka maʻi diabetes. He mea nui e lawe i kēia mau lāʻau no ka manawa piha.
- ʻAuʻau Sitz: He mea nui loa kēia. ʻO ka noho ʻana i loko o kahi kīʻaha wai mehana no 10-15 mau minuke i nā manawa he nui i ka lā hiki ke hōʻemi i ka ʻeha, mālama i ka ʻeha i maʻemaʻe, a kōkua i ka ho'ōla wikiwiki ʻana.
- Ke kāohi ʻana i ka paʻa ʻana o ka ʻōpū: ʻO ka lawe ʻana i nā laxatives ( laxatives ) a me ka ʻai ʻana i nā meaʻai waiwai i ka fiber (huaʻai, mea kanu) hiki ke kōkua i ka hōʻemi ʻana i ka ʻoluʻolu ʻole i ka wā e hele ana i ka lua a hiki i ka wā e ola ai ka ʻeha.
Nā pilikia e hiki mai ana inā ʻaʻole lawe ʻia ka mālama kūpono
Inā hoʻowahāwahā ʻia kēia ma ke ʻano he mea liʻiliʻi, hiki ke loaʻa nā pilikia koʻikoʻi.
- Ka hoʻokumu ʻia ʻana o ka fistula: E like me kā mākou i kūkākūkā ai ma mua, inā ulu kahi puʻupuʻu, aia kahi manawa kiʻekiʻe o ka hoʻokumu ʻia ʻana o kahi fistula.
- Ka laha ʻana o ka maʻi:Hiki i ka maʻi ke komo i ke kahe koko a laha i loko o ke kino, e hana ana i kahi maʻi weliweli i kapa ʻia ʻo sepsis.
- Ka hoʻokumu pinepine ʻana o ka cyst: Inā ʻaʻole i wehe pono ʻia ka pus a inā paha e ulu ana kahi abscess, hiki i kēia mau cysts ke hoʻomau i ke kūkulu ʻana.
- ʻO ka gangrene o Fournier: He maʻi laha ʻole kēia akā he maʻi hoʻoweliweli i ke ola e make koke ai nā ʻiʻo a puni nā genital.
No laila, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻimi i ke kōkua lapaʻau i ka wā e ʻike ʻia ai nā hōʻailona.
Leka Lawe-Home
- He ʻeha ʻeha kahi ʻōpū anal, piha i ka pus e hana ana a puni ka anus.
- ʻAʻole pono e huikau kēia me nā hemorrhoids. Hiki i ke kuni a me ka ʻeha nui ke lilo i mau hōʻailona o kahi fissure anal.
- ʻAʻole hoʻōla pinepine kēia maʻi iā ia iho, no laila inā loaʻa iā ʻoe nā hōʻailona, mai hoʻonele i ka manawa a ʻike i ke kauka.
- Mai ho'āʻo e ʻomi a hoʻokuʻi paha i ka cyst ma ka home. Hiki ke lilo i mea weliweli loa.
- I ka manawa pinepine, pili ka lāʻau i kahi hana ʻoki liʻiliʻi e wehe ai i ka pus. He lāʻau lapaʻau holomua a palekana kēia.
- Inā loaʻa pinepine iā ʻoe nā cysts, e kamaʻilio pū me kāu kauka e pili ana i kēlā, no ka mea, aia paha kahi fistula i hūnā ʻia ma lalo.
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